Notice To Quit Possession

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JD-HM-7: Notice to Quit Possession
NOTICE TO QUIT (END) POSSESSION
ADA NOTICE
JD-HM-7 Rev. 3-12
The Judicial Branch of the State of
C.G.S. § 47a-23
Connecticut complies with the
Instructions To Landlord
Americans with Disabilities Act (ADA). If
you need a reasonable accommodation
1. Fill out this notice and give it to a state marshal or any proper officer with enough copies
in accordance with the ADA, contact a
for each adult occupant and tenant you want to evict.
court clerk or an ADA contact person
2. After service (delivery to the tenant(s) and occupant(s)) is made, the original Notice to
Quit will be returned to you. If you do not want to include your address on this form, give
listed at
this information to the marshal or other proper officer on a separate sheet so that the
officer can return the original notice to you promptly after making service.
To: Name(s) of renter/tenant(s) and occupant(s)
Address of premises, including apartment number, if any
You must quit (end) possession or occupancy of the premises described above and now occupied by you on or
before
for the following reason(s) (specify):
(Date)
If you have not moved out of the premises by the date indicated above, an eviction (summary process case) may be
started against you.
Name of landlord (Print or type)
Signed (Landlord/Attorney)
Dated at (Town)
On (Date)
Address of landlord (Submit to proper officer on a separate sheet if desired )
Return Of Service
(To be completed by officer who serves (delivers) this notice)
Name(s) of person(s) served
Address at which service was made
On (Date of service)
Fees
Copy
Endorsement
Service
Then and there I made due and legal service of the foregoing notice by leaving a true and
attested copy (copies) with or at the place where each of the tenant(s) and occupant(s) named
Travel
above usually live.
Attest (Name and title)
Total
NOTICE TO QUIT (END) POSSESSION
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